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Transcript of Coordinated School Health Initiatives Nick Drzal, MPH, RD Michigan Department of Education Grants...
Coordinated School Health Initiatives
Nick Drzal, MPH, RDMichigan Department of EducationGrants Coordination & School Support OfficeCoordinated School Health & Safety Programs
Lisa Grost, MHSAMichigan Department of Community HealthCardiovascular Health Nutrition and Physical Activity
School-aged children are socially, emotionally and physically healthy and engaging in behaviors that promote lifelong health and academic achievement within a supportive family, school and community environment.
Vision Statement
State School HealthVision Priorities
1. Teach healthy behaviors and skills to all students.
2. Ensure that social, emotional and physical health services available to all students.
3. Create environments that support health behaviors.
MDE Role & Function Provide leadership, technical assistance and
support for efforts designed to promote student health
Key Health Problems Intentional and unintentional injuries
Sexual risk behaviors
Alcohol/drug use
Tobacco use
Physical inactivity
Poor eating habits
Special Projects: Asthma, Sun Safety
Content Standards and Benchmarks
Model State Curriculum
Grade Level Content Expectations
State Board Policies
Assessment and Evaluation
Surveillance
Resources and Tools
Key Education Focus
Presentation Objectives
Provide an overview of Coordinated School Health Initiatives and how they can change school systems.
Share research on links between health status and academic achievement
Share success stories and resources
Encourage you to become a coordinated school health advocate.
© 2002 Association of State and Territorial Health Officials (ASTHO) and the Society of State Directors of Health, Physical Education and Recreation (SSDHPER)
Through Coordinated School Health Programs
www.thesociety.org
Making the Connection: Health and Student Achievement
Is student health
themissing piece in school
reform?
How are school health programs administered
today?
Coordinate Health Initiatives…
THE WAY WE DOBUSINESS!
Uncoordinated Efforts = Missed Opportunities
Missed Opportunities
Coordinated Efforts = Endless Opportunities
Endless Opportunities
Leads to Success
Coordinating School Health Programs
Coordinated School Health Program Model (CSHP)
THE WAY WE DO
BUSINESS!!!
Not one more thing to do but another way to
do our thing.
Good Health is
Necessaryfor
Academic Success
Coordinated School Health Initiatives:
Empowers students with the knowledge, skills, and judgment to help them make smart choices in life.
Engages parents, families and communities
Helps keep kids healthy over time by reinforcing positive behaviors
Supports learning and school success
CSHI Are…Centered on the Needs of Our Children
Increase connectedness
Identify and build upon youth assets
Develop life skills and sense of competence
CSHI Are…Systematic in its Approach
Assess needs and resources
Prioritize
Plan
Implement
Monitor, evaluate, and refine
CSHI Are…Built on a Team Effort
Coordination between School Health Councils and School Health Teams
Partnerships
Involvement of students, families, and communities
Link to School Improvement Plan, School-Based Site Management
CSHI Are…Rigorous
Builds on accurate data
Utilizes sound science
Aims to eliminate gaps and redundancies
8 Volunteers NeededUpfront & Center
Coordinated School Health Team
HealthServicesHealth
Services
HealthySchool
Environment
HealthySchool
Environment
Health Promotion
for Staff
Health Promotion
for Staff
NutritionServicesNutritionServices
Family/CommunityInvolvement
Family/CommunityInvolvement
PhysicalEducationPhysical
Education
Counseling,Psychological
& SocialServices
Counseling,Psychological
& SocialServices
HealthEducation
HealthEducation
TEAMWORK IS…
CRITICAL forTEAM SUCCESS
There is No
“I”in
TEAM!
How do the components of a CSHP
impact behavior or academic achievement?
Good Health IS Necessary for Academic Success
It is difficult for students to be successful in school if they are: Sick Using alcohol or other drugs Hungry Abused
Depressed Tired Being bullied Stressed
Family & Community Component
Students with greater parent involvement show: Higher grades Higher test scores Better attendance More consistently completed homework
• Henderson, 1987
Schools with strong community activity programs report: Increased student academic achievement Reduced school suspension rates Improved student behaviors
• Nettles, 1991; Allen, Philliber, Herring, and Kupermine 1997
Family & Community Component
Comprehensive School Health Education Component
Students participating in health education show: Increased knowledge, skills and health
practices• Connell, Turner, and Mason, 1985
Decreased risky behaviors• Botvin, Baker, Dusenbury, Tortu, and Botvin, 1990• Dent, Sussman, Stacy, Craig, Burton, and Flay, 1995
School Health ServicesComponent
Schools with school-based health centers report: Increased school attendance Decreased drop-outs and suspensions Fewer teen pregnancies Higher graduation rates
• McCord, Klein, Foy, and Fothergill, 1993 • Walters, 1996
School Nutrition ServicesComponent
Schools with school breakfast programs show: Increased academic achievement Improved student attention Reduced school nurse visits Decreased behavior problems
• Murphy, Pagano, Nachmani, • Sperling, Kane, and Kleinman, 1998
Counseling, Psychological and Social Services Component
School intervention combining teacher training with parent education showed: Increased student attachment to schoolLess school misbehaviorBetter academic achievement
• Hawkins, Catalano, Kosterman, Abbott, and Hill, 1999
Counseling, Psychological and Social Services Component
Parent-child and parent-teacher communication intervention resulted in improved student academic performance
- Bowen, 1999
Healthy School Environment Component
Students who felt a strong social bond to their school were: More attentive in class.Less likely to misbehave.
• Simons-Morton, Crump, Haynie, and Saylor, 1999
Physical Education Component
Physical activity is positively associated with academic performance
Dwyer, Blizzard, and Dean, 1996
Student physical education involvement did not negatively impact student test scores.
• Sallis, McKenzie, Kolody, Lewis,Marshall, and Rosengard, 1999
• Shephard, 1996• Dwyer, Coonan, Leitch, Hetzel, and Baghurst, 1983
Staff Wellness ComponentTeachers participating in a health promotion
program focusing on exercise, stress management, and nutrition reported: Lower body weight Lower stress levels Higher exercise participation Higher well-being levels
Blair, Collingwood, Reynolds, Smith, Hagan, and Sterling, 1984
“Healthy” teachers were:Less absentMore energeticMore optimistic
• Symons, Cummings, and Olds, 1994
Staff Wellness Component
Policy Adoption&
Tipping Point
What’s Your Districts Story and Who Will Help You Tell It? Systems Change Dynamics
Behavior is affected by multiple levels of influence Examples:
• Seat belt usage (20 years ago) and 2004 Click It or Ticket Campaign
• Drinking and Driving
Science-based, Public identifies a need for change, and People enact behavior or environmental change agents
The Tipping Point –Malcolm GladwellHow Little Things Can Make a Big Difference
Ideas (or P/policy) behave like epidemics
Ideas can be tipped by: Who transmits it; The nature of the idea itself; and The environment or context of the idea
• Ex: Teen alcohol related accidents at Prom = after prom all night parties led by parents and educators trying to prevent further incidents
The Tipping PointCultivate Connectors, Mavens and Salesmen
Connectors – Social Butterflies i.e. networkers Mavens – Just the Facts i.e. researchers Salesmen - Persuasion i.e. media
Who are or could be the Connectors, Mavens and Salesmen for your team to spread your message?
Sphere of Influence
Big “P” Policy Society: Advocacy,
Science
Small “p” policy Community: Schools Organizational:
Hospitals, Churches, Corporations, Providers
Interpersonal/ Individual – Media, Patient Education
SocietyNational, State
CommunityCounty, Municipality, Coalitions
OrganizationalOrganizations, Social Institutions
InterpersonalFamily, Friends, Social Networks
IndividualKnowledge, Skills, Attitudes, and
Behaviors
Policies and Procedures
Policies Typically express what should be done, why it
should be done, and who should do it.
Regulations and Procedural Guidelines Outline the details of how to accomplish the policy’s
goals.
A Good Policy is YourBest Defense Clearly written policies that reflect thorough
research, sound judgment, and careful planning stave off the maiming accusations of uninformed critics…
It is surprising how much thoughtful policy work gets done if the board will routinely set aside part of every meeting to discuss policy issues rather than immediate needs. National School Boards Association
A Policy Is Only Effective When It Is…
Shared
Responsive to a need
Consistently voiced
Clear how to turn the policy into practice
Consistently implemented
Consistently enforced
Michigan State Board of Education
Policies on School Health
Coordinated School Health Programs 9/2003
HIV/STD and Sex Education 9/2003
Physical Education 9/2003
Healthy Food Environment 12/2003
Safe Schools 4/2003
Character Education 6/2004
Health Education 6/2004
Tobacco Free 24/7 6/2005
Local Wellness Policy 11/2005
Take Home Messages
Policies can be extremely powerful tool in supporting school health initiatives
The policy development process is critical in: Building support Expanding critical partnerships
Don’t recreate the wheel.
Start with existing school health policies.
Success Stories and Initiatives WorkingDr. Pat Cooper, McComb, Mississippi
Issues: High teen pregnancy; Low graduation rate; Low test scores; High special education rates; High juvenile arrest rates; High suspension, expulsions, and delinquency rates
Dr. Pat Cooper, McComb, Mississippi
Results: Significant increases in reading, language, and math test
scores on the MTC and Terra Nova• One group moved from 30th% to 47th% on the Terra Nova within 4
years. In 2000, 46.5% of children were in the bottom quarter, 4 years later only 22.6% were.
• MCT scores for 2nd – 8th grade reading, language and math increased by 32.8 to 80.4 points.
Graduation rates have increased from 77.03% in 1996-1997 to 90.97% in 2002-2003; 10% higher than the state average
Dr. Pat Cooper, McComb, Mississippi
Results: Prior to 2002-2003, 39.4% children were dropping out of
school; 14.5% after the implementation of a positive discipline program
Special education inclusion rate is double that of the state of Mississippi; ranked #1 in providing special education services within general education classrooms – student enrolled in 1997 was 443 and has decreased to 375 in 2004
Dr. Pat Cooper, McComb, Mississippi
Results: 3% teens in Teen Parent Program has a repeat
pregnancy before the age of 20, compared to 23.5% for Mississippi and 20.9% for the US
A decrease of 59% was seen in juvenile crime arrests out of school
More than 42% decrease in suspensions and detentions 33% reduction in expulsions since the Safe Schools
component was initiated
Dr. Pat Cooper, McComb, Mississippi
HOW…??? Collaboration between school and community – forum
held – good discussions Collected all “money pots” and reprioritized to meet the
needs of the students, teachers and community Long term plan Consistent policies Collection of Data
Success Stories and Initiatives Workingin Michigan!
Michiana Coordinated School Health Leadership Institute replication 3 year intensive leadership training 3 team members; 2 school and 1 community Meet 2 times per year in person
Coordinated School Health Leadership Training for Priority Schools Kick off March 2004 with Pat Cooper, Brighton Follow-up trainings Winter 2005 Replicate Leadership Institute program at a slower pace
“A health promoting school is characterized as a school
constantly strengthening it’s capacity as a healthy setting for
learning and working.”WORLD HEALTH ORGANIZATION
Healthy Kids Make Better Students,
And Better Students Make Healthy Communities.
Contact Information on Michigan State Board of Education Policies
Sex Education Laurie Bechhofer, [email protected]
CSHP Elizabeth Haller, [email protected]
Character Ed &Health Education
Merry Stanford, [email protected]
Nutrition Nick Drzal, [email protected]
Physical Education/Activity
Trina Boyle-Holmes, [email protected]
Safe Schools Bob Higgins, [email protected]
MI Department of Education, www.michigan.gov/mde
Educational Materials Center, www.emc.cmich.edu
Contact Information Michigan Department of Community Health
Lisa Grost, Email: [email protected] , Phone: 517-335-9781
Cool Quotes
“Education and health are inextricably linked.”
- Carnegie Council on Adolescent Development
“No educational tool is more essential than good health.”
- Council of Chief State School Officers
Cool Quotes
“Health and success in school areinterrelated. Schools cannot achieve their primary mission of education if students
and staff are not healthy and fit physically, mentally, and socially.”
- National Association of State Boards of Education
Cool Quotes
Carnegie Foundation
“Clearly, no knowledge is more crucial than knowledge about
health. Without it, no other life goal can be successfully achieved.”
- Boyer, E.L., The Carnegie Foundation for the Advancement of Teaching, 1983
U.S. Department of Education
“Too many of our children start school unready to meet the challenges of learning, and are
adversely influenced by… drug use and alcohol abuse, random violence, adolescent pregnancy,
AIDS, and the rest.”
- U.S. Department of Education. America 2000, An Education Strategy Sourcebook- Department of Education, 1991
Former Surgeon GeneralDr. Antonia Novello
“Health and education go hand in hand: one cannot exist without the other. To believe any differently is to hamper progress. Just as our children have a right to
receive the best education available, they have a right to be healthy. As parents, legislators, and
educators, it is up to us to see that this becomes a reality.”
- Healthy Children Ready to Learn: An Essential Collaboration Between Health and Education, 1992
American Cancer Society
“[Children] …who face violence, hunger, substance abuse,
unintended pregnancy, and despair cannot possibly focus on
academic excellence. There is no curriculum brilliant enough to
compensate for a hungry stomach or a distracted mind.”- National Action Plan for Comprehensive School Health Education. 1992
ResourcesHealthy School Action Tool (HSAT)
www.mihealthtools.org/schools
Healthy Kids, Healthy Weight: Tips for Families with Kids of all Shapes and Sizes www.mihealthtools.org/schools
The Role of Michigan Schools in Promoting Healthy Weight: A Consensus Paper www.mde.state.mi.us
ResourcesTeam Nutrition Resources and Grants
www.tn.fcs.msue.msu.edu
State Board of Education Health Policies www.tn.fsc.msue.msu.edu
Exemplary Physical Education Curriculum www.michiganfitness.org/EPEC/default.htm
Resources
Reverse the Trends: Create a Healthy School Nutrition Environment for Students
Stories From the Field: Lessons Learned About Building Coordinated School Health Programs
Promoting Healthy Youth, Schools, and Communities: A Guide to Community-School Health Councils
Resources Fit, Healthy, and Ready to Learn: A School Health
Policy Guide
Getting it Started and Keeping it Going
Fruits & Vegetables Galore: Helping Kids Eat More
USDA’s School Meals Initiative www.fns.usda.gov/fns/
Action for Healthy Kids www.actionforhealthykids.org